Open AccessAN AUDIT OF 90 CASES OF CERVICAL LYMPHADENOPATHY AT TEACHING HOSPITALS
Author(s) -
Mahid Iqbal,
Muhammad Ismail Khan,
Ihsanullah,
Sharafat Ali,
Maqbool Ur Rehman,
Gulshan Hussain
Publication year - 1969
Publication title -
journal of saidu medical college
Language(s) - English
Resource type - Journals
ISSN - 1819-4583
DOI - 10.52206/jsmc.2014.4.1.469-472
Subject(s) - medicine , cervical lymphadenopathy , histopathology , cervical lymph nodes , tuberculosis , lymphoma , tuberculous lymphadenitis , biopsy , lymphoid hyperplasia , surgery , metastasis , radiology , dermatology , pathology , disease , cancer
BACKGROUND: Cervical lymphadenopathy is the enlargement of cervical lymph nodes beyond 1cmin diameter. It may be due to various causes and can involve different age group and sites.OBJECTIVE: To find out various causes of cervical lymphadenopathies in the study group.MATERIAL AND METHODS: This cross sectional study was conducted at Departments of ENT,Head and Neck Surgery, Saidu Teaching Hospital Swat , from April 2010 to June 2013. Patients havingenlarged lymph nodes, of either sex and of any age were included in the study for the determination offrequency of various diseases in cervical lymphadenopathy. Clinically diagnosed cases of cervicallymphadenopathy as well as those patients not willing for admission were excluded from the study. Fineneedle aspiration cytology (FNAC) was done in all patients for the diagnosis of various diseases.Specific investigations like pus for AFB/culture and excisional/incisional biopsy employed in patients inwhom FNAC was inconclusive.RESULTS: Out of 90 patients, 47 (53%) females and 43 (47%) were males. Most of the patients werebetween 1-10 years. Chronic granulomatous diseases especially the tuberculous cervicallymphadenopathy was the most common histological diagnosis in 32(36%) patients, lymphoma 22(24%), reactive hyperplasia in 20(22%), metastasis to cervical lymph nodes inl5 (17%), and nonspecific lymphadenitis in 2(1%) case.CONCLUSION: Tuberculosis is still the commonest cause of cervical lymphadenopathy in this regionafter excluding reactive hyperplasia.KEY WORDS: Cervical lymphadenopathy; histopathology; causes.